Provider Demographics
NPI:1427390061
Name:CSA
Entity Type:Organization
Organization Name:CSA
Other - Org Name:COMMUNITY SUPPORT ADVOCATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-883-1776
Mailing Address - Street 1:6000 AURORA AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50322-2833
Mailing Address - Country:US
Mailing Address - Phone:515-883-1776
Mailing Address - Fax:515-883-2171
Practice Address - Street 1:6000 AURORA AVE
Practice Address - Street 2:SUITE B
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50322-2833
Practice Address - Country:US
Practice Address - Phone:515-883-1776
Practice Address - Fax:515-883-2171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management